Organization Active NPI

Our Lady of the Wayside Inc.

Doing business as Wayside Ride

  • Non-emergency Medical Transport (VAN)
  • Avon, OH
National Provider Identifier
1437505773
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
475115 Issued in OH
Legal business name
OUR LADY OF THE WAYSIDE INC.
Doing business as
Wayside Ride
Practice address
38135 Colorado Ave
Avon, OH 44011-1028
Phone
(440) 934-6007
NPI assigned
May 5, 2016
Last updated
May 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Terry Davis
Title
President/Ceo
Phone
(440) 934-6007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 475115 OH Primary

Addresses

Primary practice location

38135 Colorado Ave
Avon, OH 44011-1028

Mailing address

38135 Colorado Ave
Avon, OH 44011-1028
Phone (440) 934-6007

Other names 1

  • Wayside Ride Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Our Lady of the Wayside Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

38135 Colorado Ave
Avon, OH 44011
Phone (440) 934-6007

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1437505773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 COLORADO AVE",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111028",
            "telephone_number": "440-934-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38135 COLORADO AVE",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111028",
            "telephone_number": "440-934-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF THE WAYSIDE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "440-934-6007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "475115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayside Ride",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.